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| In our efforts to increase
networking among clinician's and AIDS Service Organization's in the field,
we have a feature called the Program Spotlight. With completion of this
form, we can highlight you and your facility in an upcoming issue of the
HIV Nutrition Update. You will receive a complimentary copy of the newszine
($10 value), or complimentary Internet subscription (value $30), in exchange
for your contribution if you are not a subscriber. If you already subscribe
to the HIV Nutrition Update, you will receive a link to the Internet issue
that your information is published in. Please feel free to expand on any
question. Thank you for your interest in contributing to the knowledge
of nutrition professionals working in HIV/AIDS care. |
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Name of Program or Facility:
Location & Telephone Number:
Web Site Address: |
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Year Program Started:
Year RD/DTR Started: |
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Name of Principal RD/DTR:
E-mail Address:
Number of Days/Hours on Site:
Number of Other Program Nutritionists
and Status (i.e. FTE, PTE, Per diem): |
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| What was the most difficult
issue you had to deal with when you started?
Who is your best ally?
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| Number of Clients and Specific
Population Served (Adults/Gender/%Minorities, etc.): |
| Funding Source:
Is someone involved in program
operation also actively involved with your local Ryan White HIV/AIDS Health
Services Planning Council?
If so, who?
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| Patient Referral Source: |
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How often are patients seen?
Are all patients screened for
nutritional risk?
How often do you provide nutritional
assessments and follow-ups? |
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| What other nutritional services
does the program provide? Identify all that apply:
On-site Visits
BIA Workshops After Hours Programs
Cooking Classes
Home Visitation
Nutrition Classes
Nutrition Support Groups
In-house Nutrition Education
Periodical
Other:
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| Are there any differences in
clinical care within your population group?
What differences exist between
your current clientele and that of the HIV-positive person in the early
1980s? (Observations between men and women and between different ethnic
groups or emerging issues especially desired.)
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| What kind of patient education
materials do you incorporate in your program? |
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| Do you participate regularly
in HIV/AIDS networking groups? |
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| What have you found to be most
useful in helping to keep up with the current research on nutrition and
HIV? |
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| If you have information about
working with HIV-positive people that you'd like to share consider viewing
our
Writer's Guidelines.
Published authors receive a full year hard copy and Internet combination
subscription to the newszine (a $75 individual value; $115 Library subscription
value).
Thank you for your contributions.
It's clinicians like you that help people living with HIV to increase their
quality of life by sharing your experience and expertise. Please return
your completed survey to: HIV Nutrition Update - Spotlight, P.O. Box 39385,
Fort Laud., FL 33339-9385 or email to subscriptions@hivresources.com.
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